So w’akyi yaw no nyɛ ɛyaw ara kwa? Momma yensua Pott Yare / Akyi berɛmo mu Nsanyare ho ade!

So ɛtɔ mmere bi a w’akyi yɛ wo yaw? Ebia ɛbɛbrɛ ase wɔ nna kakraa bi mu. Nanso, sɛ akyi yaw yi kɔ so, na sɛ wo nso wote nka sɛ wo ho ayɛ wo hyew na wunni aduan ho akɔnnɔ a, ebia ɛnyɛ asɛm a ɛyɛ mmerɛw. Ɛnnɛ yɛrebɛka yareɛ bi a ɛfa akyi berɛmo ho a ɛyɛ hu kakra, nanso sɛ wɔsa no yie a, ɛbɛtumi asa. Ɛno ne Pott Yare, anaa Akyi berɛmo mu Nsamanwaw.

Dɛn ne Pott Yare no?

Sɛ yɛbɛka no tiawa a, Pott Yare yɛ ɔyare mmoawa a ɛka w’akyi berɛmo mu nnompe a wɔfrɛ no vertebrae . Nokwarem no, ɛyɛ nsamanwaw (TB) bi. Nanso ɛnyɛ ahurututu no nkutoo na ɛwɔ hɔ, ɛyɛ TB bi a ɛwɔ ahurututu akyi . Susuw ho hwɛ, edi kan fi ase wɔ ahurututu mu, afei ɛkɔ akyi berɛmo no mu.

Eyi betumi ama akyi berɛmo ayɛ no yaw akyɛ , abasa ne anan ntini ayɛ mmerɛw, na sɛ wɔansa no yiye a, ebetumi ama akyi berɛmo no ayɛ kurukuruwa na asɛe akyi berɛmo no. Wɔ tebea horow bi mu no, eyi betumi de nkwa ato asiane mu.

Ebia nnuruyɛfo bɛfrɛ eyi Pott akyi berɛmo anaa nsamanwaw spondylitis .

Potts yare no abu so dɛn?

Potts yare no yɛ nnompe mu nsamanwaw ahorow a abu so no mu biako. Wɔ wiase nyinaa no, wobu akontaa sɛ nnipa bɛyɛ ɔpepem 10.6 na wonyaa nsamanwaw wɔ afe 2022 nkutoo mu.

Dɛn ne Potts yare no ho sɛnkyerɛnne?

Afei ma yɛnhwɛ nea Pott Yare no ho sɛnkyerɛnne yɛ.

• Akyi yaw: Eyi ne sɛnkyerɛnne titiriw.
• Kɔn mu yaw: Ɛtɔ mmere bi a, ɛyaw nso tumi ba kɔn mu.
• Abasa ne nan a ɛyɛ mmerɛw: Ɛte nka sɛ tebea a nkwa nnim.
• Aduan ho akɔnnɔ a ɛyera
• Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu
• Huraeɛ

Ebetumi aka dompe biara a ɛwɔ akyi berɛmo no mu, kyerɛ sɛ, akyi berɛmo biara. Mpɛn pii no, akyi berɛmo bɛboro biako na ɛka. Mmeae a ɛda adi sɛ wobɛte saa sɛnkyerɛnne ahorow yi nka kɛse ne:

• Awotwaa mu akyi berɛmo
• Thoracic anaa akyi akyi berɛmo
• Lumbar akyi berɛmo

Ɔkwan bɛn so na eyi ba?

Ɔyare mmoawa bi a wɔfrɛ no Mycobacterium tuberculosis na ɛde Potts yare no ba. Sɛ wohome nsu nketenkete a efi obi a ɔwɔ nsamanwaw mu, te sɛ bere a ɔfefe anaa ɔkasa a, edi kan hyɛn w’ahurututu mu. Afei, ɔyare mmoawa no fa wo mogya mu kɔ nnompe a ɛwɔ w’akyi berɛmo mu no mu.

So eyi yɛ ɔyare mmoawa?

Afei ebia woresusuw ho sɛ ebia Potts yare yi tumi kɔ nnipa mu anaa.Dabi, Potts yare no ntrɛw mfi onipa so nkɔ onipa so tẽẽ. Nsamanwaw trɛw bere a ɛwɔ ahurututu mu no. Ɛne sɛ, ɛnam mmoawa a woyi gu mframa mu bere a obi a ɔwɔ ɔyare no kɔfe anaa ɔkasa no so. Edu bere a ɔyare no trɛw kɔ akyi berɛmo no mu no, na afi ahurututu no mu koraa.

Hena na ɔwɔ asiane mu kɛse?

Hena na ɛda adi kɛse sɛ obenya Potts yare no?

• Wɔn a wɔne obi a ɔwɔ nsamanwaw di nkitaho kɛse no fam.
• Wɔn a wɔte mmeae a nnipa dɔɔso pii no fam.
• Wɔn a wontumi nnya akwahosan ho nhyehyɛe ntɛm no fam.

Afei nso, nnipa a wɔwɔ akwahosan tebea horow bi wɔ asiane mu kɛse. Nhwɛsoɔ:

• Wɔn a wonnya aduan pa nni fam no .
• Wɔn a nnubɔne a wɔde di dwuma (Substance use disorder) agye wɔn adwene no fam.
• Wɔ nnipa a wɔwɔ tebea horow a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ basaa te sɛ HIV fam no .

Sɛ wɔamfa ayaresa amma a, dɛn na ɛba? (Nsɛnnennen a ɛba) .

Sɛ wɔanni eyi ho dwuma yiye a, dɛn na ɛba? Ebetumi ayɛ nea asiane wom ankasa. Potts yare no betumi asɛe nnompe a ɛwɔ w’akyi berɛmo mu no. Saa mmoawa yi ma ɔfe ne akisikuru a akisikuru ahyɛ mu ma wɔ akyi berɛmo no mu. Saa ɔfe ne akisikuru yi ma nnompe a ɛwɔ akyi berɛmo no mu no mia, ɛyɛ mmerɛw, na ɛsɛe. Akyi berɛmo no betumi abubu anaasɛ abubu mpo. Eyi betumi ama akyi berɛmo no ayɛ nea entumi nnyina. Eyi betumi ama obi akɔ n’anim (kyphosis), a ɛyɛ tebea a ɛma akyi berɛmo no kɔ n’anim, na ɛma ɛyɛ te sɛ nea obi abɔ ne ti ase.

Ɛnyɛ ɛno nko, na mmom nsɛnnennen afoforo betumi aba:

• Ɛyɛ den sɛ wubegyina hɔ na anantew.
• Ntini a ɛtwetwe: Eyi betumi ama akwaa no ayɛ mmerɛw, ayɛ mmerɛw, na ontumi nni nsu anaa nsu a ɛwɔ nsu mu no so.
• Ebia obubuafo nso betumi aba.
• Ɔyare no betumi atrɛw akɔ nipadua no afã afoforo nso (sɛ nhwɛso no, amemene, asaabo).

Sɛ wohu yare no ntɛm na wofi ase sa yare a, wobetumi asiw nsɛnnennen te sɛ eyinom ano kɛse.

Wobɛyɛ dɛn ahu eyi?

Ɔkwan bɛn so na nnuruyɛfo hu Potts yare no? Sɛ oduruyɛfo bi hwehwɛ wo mu na obisa wo yare no ho sɛnkyerɛnne wie a, wɔbɛyɛ nhwehwɛmu kakraa bi bio. Wɔde nhwehwɛmu ahorow yi di dwuma de yi nyarewa afoforo a ɛwɔ sɛnkyerɛnne a ɛte saa ara fi hɔ na wosi so dua sɛ ɛyɛ akyi berɛmo mu TB.

• Tuberculosis skin test: Nhwehwɛmu ketewaa bi a wɔyɛ wɔ honam ani.
• Mogya mu nhwehwɛmu de hu nsamanwaw mmoawa.
• Mfoniniyɛ mu nhwehwɛmu: Sɛ nhwɛso no, akyi berɛmo mu X-ray , MRI (Magnetic Resonance Imaging) , CT (Computed Tomography) mfonini, anaa PET (Positron Emission Tomography) mfonini.Scan bi a wɔde skan.

Esiane sɛ Potts yare no ho sɛnkyerɛnne te sɛ nyarewa afoforo pii a ɛtaa ba no de, na esiane sɛ akyi berɛmo mu TB ho yɛ na nti, ɛtɔ mmere bi a ebetumi ayɛ den sɛ wobehu. Afei nso, nnipa a wɔte mmeae a TB dɔɔso nanso akwahosan ho adwumayɛbea ahorow nyɛ papa no betumi akyɛ ayaresa a wɔbɛhwehwɛ kosi sɛ nsɛnnennen bɛba.

Dɛn ne ayaresa ahorow no?

Wɔsa Potts yare no wɔ akwan horow pii so. Nnuru bi wɔ hɔ a ɛsɛ sɛ wɔnom asram pii.

So wobetumi de nnuru asa?

‍ (chemotherapy medications) :

• Isoniazid, Rifampicin, Pyrazinamide, Ethambutol ne/anaasɛ Streptomycin bɛyɛ asram abien.
• Ɛno akyi no, wobetumi anom Isoniazid ne Rifampicin asram anan kosi dumien bio, anaasɛ ebia wɔbɛnom akyɛ mpo.

Ɛho hia paa sɛ wode saa aduru yi di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ. Sɛ wogyae aduru no ansa na bere a wɔakyerɛw ama no adu a, ebetumi atew ayaresa no a etu mpɔn no so.

Ɛtɔ da bi a, nnuru a edi kan a wɔde sa TB no nyɛ adwuma. Wɔfrɛ eyi TB a nnuru ntumi nkɔ mu . Sɛ eyi ba a, ebia wo duruyɛfo bɛkamfo nnuru afoforo te sɛ:

• Kanamycin a wɔde di dwuma
• Capreomycin a wɔde yɛ aduru
• Pyrazinamide a wɔde yɛ aduru
• Amikacin a wɔde yɛ aduru
• Fluoroquinolone a wɔde yɛ aduru

Saa nnuru a wɔde sa nsamanwaw a nnuru ntumi nsɛe no yi betumi de ɔhaw ahorow aba. Wo duruyɛfo bɛka eyinom ho asɛm akyerɛ wo.

Ebia oprehyɛn ho hia?

Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie w’akyi berɛmo, tew sɛnkyerɛnne ahorow so, na wɔasiw Potts yare no ho nsɛnnennen ano. Oprehyɛn ahorow pii wɔ hɔ a wobetumi ayɛ:

• Debridement: Ntini a asɛe a atwa akyi berɛmo no ho ahyia anaasɛ woyi fi hɔ.
• Drainage: Nsuo a ɛyɛ akisikuru a aboaboa ano wɔ akyi berɛmo no mu a wɔyi anaa wɔyi gu mu.
• Stabilization ne alignment: Nsamanwaw betumi asɛe akyi berɛmo no. Oduruyɛfo a ɔyɛ oprehyɛn betumi ayi nnompe ne diski a abubu na/anaasɛ asiesie , na ɔde mprɛte ne nkɔnsɔnkɔnsɔn ahyɛ mu de akura nnompe no mu.
• Fusion: Oduruyɛfo a ɔyɛ oprehyɛn betumi de akyi berɛmo abien abom daa, na ama wɔatumi ankɔ baabiara na asiw ɛyaw ne nsɛnnennen afoforo ano. Ebia eyi bɛhwehwɛ sɛ wode dompe a efi wo nipadua no fã foforo mu bedi dwuma.

Ɔkwan bɛn so na sɛnea wɔn ho bɛtɔ wɔn?

Sɛ wohu ntɛm na wɔsa no ntɛm a, hokwan a ɛwɔ hɔ sɛ wobenya ahoɔden afi Potts yare no mu no ye yiye. Wɔkyerɛ sɛ nnipa a wonya Potts yare na wonya ayaresa wɔ mfiase no mu bɛyɛ 95% ho tɔ wɔn .

Nanso, sɛ akyi berɛmo mu nsamanwaw mu yɛ den, anaasɛ ɛnyɛ ayaresa ho biribi na ɛsɛe akyi berɛmo no a, ebetumi de nkwa ato asiane mu. Wo duruyɛfo no begyina mfe a woadi, sɛnea wo nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade, ne w’akwahosan nyinaa so ahwɛ hokwan a wowɔ sɛ wo ho bɛtɔ wo.

Wobetumi de nnuru asa Potts yare no, nanso ɛnyɛ bere nyinaa na wobetumi asa, titiriw sɛ nsamanwaw no yɛ ɔyare mmoawa a nnuru ntumi nkɔ mu a.

So Potts yare no ma nkwa nna yɛ tiaa?

Wo nkwa nna a wobɛtra bere a woanya Potts yare akyi no betumi ayɛ soronko kɛse. Sɛ wohu yare no na wɔsa no ntɛm a, ebia ɛrenka wo nkwa nna. Nanso, wɔ mmofra nkumaa, mpanyimfo a wɔadi boro mfe 65, ne nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw fam no, nea efi Potts yare mu ba no betumi asɛe kɛse, na ebetumi de wɔn nkwa mpo ato asiane mu.

Wo duruyɛfo betumi aka wo nkwa nna ho asɛm akyerɛ wo yiye, a nokwasɛm ahorow yi ka ho:

• Wo mfe a woadi ne w’akwahosan nyinaa.
• Bere a wufii ase yɛɛ ayaresa no.
• Sɛnea ɔyare mmoawa no mu yɛ den.
• Wowɔ nsɛnnennen.
• Sɛ́ ebia wo nipadua no tumi ko tia nsamanwaw nnuru anaasɛ ɛnte saa.

So akwan bi wɔ hɔ a yebetumi afa so akwati eyi?

Esiane sɛ ɛyɛ nsamanwaw yare bi nti, ɛrentumi nyɛ yiye sɛ wobesiw Potts yare no ano koraa. Nanso, wubetumi ayɛ nea edidi so yi de atew asiane a ɛwɔ hɔ sɛ wubenya nsamanwaw yare no so:

• Kwati sɛ wo ne obi a ɔwɔ TB yare a ɛyɛ nnam bedi nkitaho bere tenten.
• Sɛ wowɔ asiane kɛse mu sɛ wubenya nsamanwaw, anaasɛ wote baabi a ɔyare no abu so a, yɛ nhwehwɛmu daa sɛ wowɔ nsamanwaw anaa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Nsamanwaw yare no di kan fi ase wɔ ahurututu mu (ahurututu mu TB). Mpɛn pii no, Pott yare no ho sɛnkyerɛnne ahorow no da adi bere a ɔyare no atrɛw afi ahurututu mu akɔ akyi berɛmo no mu akyi. Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ oduruyɛfo nkyɛn:

• Ɔfe a ɛtra hɔ bɛboro adapɛn abien.
• Koko mu yaw.
• Sɛ wofe mogya a.
• Ɔbrɛ a ɛtra so.
• Ntini mu mmerɛwyɛ.
• Aduan no nyɛ dɛ.
• Sɛ wowɔ atiridiinini ne atiridiinini a.

Ebia worennya ahurututu mu sɛnkyerɛnne biara, nanso ebia wowɔ nsamanwaw. Enti sɛ wowɔ akyi berɛmo mu nsamanwaw ho sɛnkyerɛnne bi a, ka kyerɛ oduruyɛfo ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm yi:

• So mewɔ Potts yare, anaa tebea foforo bi a ɛka m’akyi berɛmo?
• Ayaresa ahorow bɛn na wokamfo kyerɛ?
• Bere bɛn na ɛsɛ sɛ menom nsamanwaw aduru ne bere tenten ahe?
• So nsunsuanso bɔne bi wɔ aduru no mu?
• So ebehia sɛ wɔyɛ me oprehyɛn?

Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae

Pott yare no betumi ayɛ ɔyare mmoawa a ɛyɛ den yiye. Nsɛnkyerɛnne no betumi ama ayɛ den ama wo sɛ wobɛtra ase yiye, atutu wo nsa ne wo nan, na woatra ase a ɛyaw biara nni mu. Ayaresa no betumi agye asram kosi mfe pii ansa na ɔyare mmoawa no afi wo nipadua mu koraa. Ebia ebehia mpo sɛ wɔyɛ wo oprehyɛn de siesie w’akyi berɛmo. Eyi nyinaa betumi ama woate nka sɛ woayɛ basaa na wuntumi ne w’adɔfo mfa wo ho nhyɛ dwumadi ahorow a ɛfata mu kosi sɛ wo ho bɛtɔ wo. Nanso kae sɛ ɛnyɛ wo nko ara. Oduruyɛfo betumi aboa wo ma woadi Potts yare no ho dwuma, aboa wo ma wo ho atɔ wo, na asiw nsɛnnennen a ɛde wo nkwa to asiane mu ano.

` Potts yare, akyi berɛmo mu nsamanwaw, akyi yaw, nsamanwaw, TB, akyi berɛmo, akyi berɛmo